Average Medicaid Office Visit Payments in Avondale, AZ: $51.88
Avg. Paid
$51.88
Range
$0.00 – $124.41
Total Claims
632,662
Providers
156
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Avondale, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maricopa County Special Health Care District
950 E Van Buren St |
$0.24 | 79,807 | 55,892 |
|
Ravi Bhushan Galhotra
10450 W Mcdowell Rd |
$63.74 | 27,413 | 22,138 |
|
Vikram Kapur
10450 W Mcdowell Rd |
$63.53 | 27,297 | 21,795 |
|
Phat Dai Hoang
13065 W Mcdowell Rd |
$45.46 | 24,224 | 22,061 |
|
Rodd Aking
10320 W Mcdowell Rd Ste L1238 |
$65.57 | 21,128 | 18,260 |
|
Rohit Malhotra
501 W Van Buren St Ste T |
$45.61 | 15,800 | 11,193 |
|
Sanjay Verma
10815 W Mcdowell Rd Ste 304 |
$64.49 | 13,600 | 13,287 |
|
Miles Wayne Howard
10815 W Mcdowell Rd Ste 301 |
$15.63 | 12,205 | 8,280 |
|
Bonifasiyo K. Ssennyamantono
10815 W Mcdowell Rd |
$57.24 | 11,100 | 10,700 |
|
Amy Christine Amore
13075 W Mcdowell Rd Ste D106 |
$107.64 | 10,844 | 10,562 |
|
Koushik Nag
10815 W Mcdowell Rd |
$51.88 | 10,577 | 10,195 |
|
Arun S. Patil
10815 W Mcdowell Rd |
$55.52 | 10,517 | 10,134 |
|
Juan Luis Miranda
13075 W Mcdowell Rd Ste D106 |
$103.44 | 10,517 | 10,251 |
|
Denova Collaborative Health, Llc
235 W Western Ave |
$114.03 | 10,510 | 9,421 |
|
Lorne William Murray
10815 W Mcdowell Rd |
$57.35 | 10,441 | 10,038 |
|
Kamel M Sadek
10815 W Mcdowell Rd Ste 305 |
$59.34 | 10,405 | 9,269 |
|
Michelle D Howland
13065 W Mcdowell Rd Ste C130 |
$59.37 | 9,813 | 9,440 |
|
Adnan Mahmood
10815 W Mcdowell Rd Ste 303 |
$73.55 | 9,627 | 9,345 |
|
Adhar Seth
10815 W Mcdowell Rd |
$52.36 | 9,316 | 9,016 |
|
Suzanne Renee Russell
13075 W Mcdowell Ste D106 |
$101.10 | 8,180 | 7,735 |
|
Amparo Estera Macariola
950 E Van Buren St |
$32.85 | 7,401 | 6,095 |
|
Steven Rush Sumpter
10815 W Mcdowell Rd |
$53.51 | 7,400 | 6,997 |
|
Erika Oquendo
506 E Western Ave Ste 104 |
$64.10 | 7,389 | 6,410 |
|
Linh Thi Thuy Vu
13065 W Mcdowell Rd Ste A105 |
$48.80 | 7,108 | 6,576 |
|
Kia Lambeth
10815 W Mcdowell Rd Ste 305 |
$56.66 | 7,093 | 6,633 |
|
Courtney Standifird
10450 W Mcdowell Rd Ste 101 |
$69.73 | 6,876 | 5,536 |
|
Katelyn Rose Sherbondy
13075 W Mcdowell Rd Ste D106 |
$101.23 | 6,711 | 6,475 |
|
George Davidson
10815 W Mcdowell Rd Ste 301 |
$28.12 | 6,505 | 4,982 |
|
Ekta Bajaj
10750 W Mcdowell Rd |
$55.02 | 6,161 | 5,910 |
|
Heather Suzanna Jacobs
10750 W Mcdowell Rd |
$49.94 | 6,031 | 5,631 |
|
Colleen Marie Cunningham
10750 W Mcdowell Rd |
$50.53 | 5,701 | 5,435 |
|
Gary Lee Berebitsky
10750 W Mcdowell Rd |
$48.88 | 5,527 | 5,284 |
|
David W Sanders
10450 W Mcdowell Rd |
$50.41 | 5,450 | 5,033 |
|
Peter S Young
10815 W Mcdowell Rd Ste 305 |
$46.56 | 5,256 | 4,534 |
|
Maricopa County Special Health Care District
950 E Van Buren St |
$1.23 | 5,189 | 2,661 |
|
Ameeta Chowdhary
10575 West Indian School Rd. Suite E-103 |
$48.52 | 5,120 | 4,508 |
|
Alan Hartsook
10750 W Mcdowell Rd |
$59.16 | 5,043 | 4,866 |
|
Adelante Healthcare, Inc
3400 N Dysart Rd |
$0.01 | 4,975 | 3,050 |
|
Upamanyu Rampal
10815 W Mcdowell Rd Ste 202 |
$61.17 | 4,943 | 4,792 |
|
Elizabeth Metzger
235 W Western Ave |
$66.85 | 4,898 | 4,428 |
|
Fedelia Maez
1473 N Dysart Rd |
$102.83 | 4,838 | 4,659 |
|
Mark S Bessette
3125 N Dysart Rd |
$54.37 | 4,831 | 4,550 |
|
Daniel Fimbres
950 E Van Buren St |
$89.78 | 4,638 | 4,388 |
|
Laura Jean Graeber
824 N 99Th Ave Ste 108 |
$57.28 | 4,489 | 4,176 |
|
Yvonne Maese
824 N 99Th Ave Ste 107-108 |
$21.04 | 4,417 | 3,525 |
|
Clarrissa Gober
10815 W Mcdowell Rd Ste 201 |
$57.57 | 4,113 | 3,994 |
|
Nadia Ledesma
235 W Western Ave |
$54.19 | 4,090 | 3,431 |
|
Brian Thomas Jensen
501 W Van Buren St Ste T |
$48.23 | 4,022 | 3,675 |
|
Riyaz A Sumar
10815 W Mcdowell Rd |
$49.39 | 3,862 | 3,659 |
|
Rachael Lynn Daley
10815 W Mcdowell Rd Ste 201 |
$66.04 | 3,617 | 3,555 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Avondale, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Avondale, AZ is $51.88 per claim, based on 632,662 claims from 156 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Avondale, AZ?
There are 156 Medicaid providers offering Office Visit related services in Avondale, AZ according to public payment data.
What is the price range for Office Visit in Avondale, AZ?
Medicaid reimbursement for Office Visit in Avondale, AZ ranges from $0.00 to $124.41 per claim, with an average of $51.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Avondale, AZ
Case Management Services
Avg $23.59
523,207 claims
Substance Abuse Treatment
Avg $49.07
359,369 claims
Speech Therapy
Avg $45.91
207,819 claims
Physical Therapy
Avg $35.43
193,995 claims
Behavioral & Mental Health Therapy
Avg $81.81
153,828 claims
Vaccines & Immunizations
Avg $15.36
111,516 claims
Blood Work & Lab Tests
Avg $0.71
105,226 claims
Dental Cleaning & Exam
Avg $6.78
87,261 claims